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DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON
NPI 1407412992
Clinic/Center - Dental in Tulsa, OK

Active since May 10, 2019
710 W 71ST ST, TULSA, OK 74132(918) 236-7123(918) 998-0818 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2021, May 10, 2019 (2 updates tracked since 2019).

About Dental Depot Southern Hills 71st & Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON (NPI 1407412992) is a healthcare organization registered as a dental in Tulsa, Oklahoma and active in the NPI registry since May 2019. The organization lists Glenn Allan Ashmore, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1407412992
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON
Location Address710 W 71ST STTulsa, OK 74132-1825
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (918) 236-7123 · Fax (918) 998-0818
Phone(918) 236-7123
Fax(918) 998-0818
Organization SubpartNo
Authorized OfficialGlenn Allan AshmoreOwner / President · (918) 236-7123
Enumeration DateMay 10, 2019
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1407412992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
710 W 71ST ST, Tulsa, OK 74132
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Other Identifiers 1

Medicaid100088170AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GAVIN HUMPHREY MARTINDALE DDS
Dentist (General Practice)
710 W 71ST ST
TULSA, OK 74132
Tulsa County (918) 262-8925
JONAH HALSELL DMD
Dentist
710 W 71ST ST
TULSA, OK 74132
Tulsa County (918) 236-7123
DR. CAYTLIN DAWN EIDSON DDS
Dentist
710 W 71ST ST
TULSA, OK 74132
Tulsa County (918) 262-8925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dental Depot Southern Hills 71st & Jackson's NPI number?

The NPI number for Dental Depot Southern Hills 71st & Jackson is 1407412992. It was assigned to this organization in the NPPES registry on May 10, 2019.

Where is Dental Depot Southern Hills 71st & Jackson located?

Dental Depot Southern Hills 71st & Jackson is located at 710 W 71st St, Tulsa, OK 74132. The listed phone number is (918) 236-7123.

What is Dental Depot Southern Hills 71st & Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Dental Depot Southern Hills 71st & Jackson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Dental Depot Southern Hills 71st & Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dental Depot Southern Hills 71st & Jackson was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.